Is the Nose More Swollen in the Morning During the Weeks Following Rhinoplasty?

I just got my nose done a little over 3 weeks ago (23 days) and I've noticed that it's always more swollen when I wake up in the morning than it was the night before. Is that normal?

Doctor Answers 5

Morning Swelling after Rhinoplasty

This is very common. Congestion is worse in the morning because circulation is less when your lying down and sleeping compared to when you're up and active. It will be helpful to keep your head elevated on at least two pillows.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Swelling after rhinoplasty

Swelling is a normal reaction to surgery, and after rhinoplasty it may be more noticeable in the morning or after lying down for several hours. Sleeping slightly upright with your head elevated on several pillows may minimize the amount of swelling you observe.

Olivia Hutchinson, MD
New York Plastic Surgeon
5.0 out of 5 stars 8 reviews

Swelling Afer Rhinoplasty Improves With Time

The good news is that you can relax-swelling after rhinoplasty is normal and improves with time. You are only 3 weeks post-op which is very early in the healing process. Your nose will look more swollen in the morning after lying down all night. It will look the best at the end of the day after you have been in an upright position all day. This is because in the upright position, the nose is well above the level of the heart which facilitates the normal tissue fluid drainage of the nose. Sleeping with your head elevated with help to reduce the swelling. I frequently recommend taping of the nose at night for 4 to 6 weeks following a rhinoplasty to minimize this swelling. I would recommend discussing your concerns with your Plastic Surgeon. Best regards, Andrew Lyos, MD, FACS

Andrew T. Lyos, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 59 reviews

Nose Elevation Reduces Swelling

Most of us sleep on a level surface or slightly elevated. As a result, after hours in this position there may be more swelling in the freshly operated nose than after a few hours of elevation. This will gradually improve with time.

Dr. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 109 reviews

Early morning swelling following rhinoplasty is common.

Swelling of the nose in the early weeks after a rhinoplasty is often worse in the morning when the patient has been lying relatively flat in bed.  After being up for a few hours, the swelling can be expected to decrease since the nose is then much higher above the heart.  This effect will resolve a few months after the surgery.

Roger J. Oldham, MD
Bethesda Plastic Surgeon
5.0 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.